Individual provider Active NPI

Caten Cordes, M.A. CCC-SLP

  • Speech-Language Pathologist
  • Roseburg, OR
National Provider Identifier
1629825922
Registry record updated Jul 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
17261 Issued in OR
Practice address
1409 NE Diamond Lake Blvd Ste 110
Roseburg, OR 97470-3356
Phone
(541) 440-4777
NPI assigned
May 3, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA22168 FL
Speech-Language Pathologist 235Z00000X SLP.0006000 CO
Speech-Language Pathologist 235Z00000X 17261 OR Primary
Speech-Language Pathologist 235Z00000X SL015992 PA

Addresses

Primary practice location

1409 NE Diamond Lake Blvd Ste 110
Roseburg, OR 97470-3356

Mailing address

80 Howson LN
Glenmoore, PA 19343-1424
Phone (484) 947-8036

Other practice location 1

12400 High Bluff Dr
San Diego, CA 92130-3077
Phone (866) 871-8519

Other practice location 2

2045 SW Highway 18 Ste 100
McMinnville, OR 97128-8622
Phone (503) 385-4616

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
SLP.0006000COMDSpeech-Language Pathologist
SA22168FLMDSpeech-Language Pathologist
17261ORMDSpeech-Language Pathologist
SL015992PAMDSpeech-Language Pathologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753660800000",
    "number": "1629825922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 HOWSON LN",
            "city": "GLENMOORE",
            "state": "PA",
            "postal_code": "193431424",
            "telephone_number": "484-947-8036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1409 NE DIAMOND LAKE BLVD STE 110",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974703356",
            "telephone_number": "541-440-4777"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12400 High Bluff Dr",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921303077",
            "country_code": "US",
            "telephone_number": "866-871-8519",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2045 SW Highway 18 Ste 100",
            "address_purpose": "LOCATION",
            "city": "McMinnville",
            "state": "OR",
            "postal_code": "971288622",
            "country_code": "US",
            "telephone_number": "503-385-4616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDES",
        "first_name": "CATEN",
        "credential": "M.A. CCC-SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-03",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA22168",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CO",
            "license": "SLP.0006000",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "OR",
            "license": "17261",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "PA",
            "license": "SL015992",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseburg, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.